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MedicationAdministration

PropertyValue
Publisher
NameMedicationAdministration
URLhttp://hl7.org/fhir/StructureDefinition/MedicationAdministration
Statusdraft
Description
Abstractfalse

Structure

PathCardinalityTypeDescription
MedicationAdministration0..*MedicationAdministrationDescribes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
MedicationAdministration.id0..1http://hl7.org/fhirpath/System.StringThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
MedicationAdministration.meta0..1MetaThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
MedicationAdministration.implicitRules0..1uriA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
MedicationAdministration.language0..1codeThe base language in which the resource is written.
MedicationAdministration.text0..1NarrativeA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
MedicationAdministration.contained0..*ResourceThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
MedicationAdministration.extension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
MedicationAdministration.modifierExtension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
MedicationAdministration.identifier0..*IdentifierIdentifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
MedicationAdministration.instantiates0..*uriA protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event.
MedicationAdministration.partOf0..*ReferenceA larger event of which this particular event is a component or step.
MedicationAdministration.status1..1codeWill generally be set to show that the administration has been completed. For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way.
MedicationAdministration.statusReason0..*CodeableConceptA code indicating why the administration was not performed.
MedicationAdministration.category0..1CodeableConceptIndicates where the medication is expected to be consumed or administered.
MedicationAdministration.medication[x]1..1CodeableConceptIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
MedicationAdministration.subject1..1ReferenceThe person or animal or group receiving the medication.
MedicationAdministration.context0..1ReferenceThe visit, admission, or other contact between patient and health care provider during which the medication administration was performed.
MedicationAdministration.supportingInformation0..*ReferenceAdditional information (for example, patient height and weight) that supports the administration of the medication.
MedicationAdministration.effective[x]1..1dateTimeA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
MedicationAdministration.performer0..*BackboneElementIndicates who or what performed the medication administration and how they were involved.
MedicationAdministration.performer.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
MedicationAdministration.performer.extension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
MedicationAdministration.performer.modifierExtension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
MedicationAdministration.performer.function0..1CodeableConceptDistinguishes the type of involvement of the performer in the medication administration.
MedicationAdministration.performer.actor1..1ReferenceIndicates who or what performed the medication administration.
MedicationAdministration.reasonCode0..*CodeableConceptA code indicating why the medication was given.
MedicationAdministration.reasonReference0..*ReferenceCondition or observation that supports why the medication was administered.
MedicationAdministration.request0..1ReferenceThe original request, instruction or authority to perform the administration.
MedicationAdministration.device0..*ReferenceThe device used in administering the medication to the patient. For example, a particular infusion pump.
MedicationAdministration.note0..*AnnotationExtra information about the medication administration that is not conveyed by the other attributes.
MedicationAdministration.dosage0..1BackboneElementDescribes the medication dosage information details e.g. dose, rate, site, route, etc.
MedicationAdministration.dosage.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
MedicationAdministration.dosage.extension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
MedicationAdministration.dosage.modifierExtension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
MedicationAdministration.dosage.text0..1stringFree text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans.The dosage instructions should reflect the dosage of the medication that was administered.
MedicationAdministration.dosage.site0..1CodeableConceptA coded specification of the anatomic site where the medication first entered the body. For example, "left arm".
MedicationAdministration.dosage.route0..1CodeableConceptA code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc.
MedicationAdministration.dosage.method0..1CodeableConceptA coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.
MedicationAdministration.dosage.dose0..1QuantityThe amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.
MedicationAdministration.dosage.rate[x]0..1RatioIdentifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.
MedicationAdministration.eventHistory0..*ReferenceA summary of the events of interest that have occurred, such as when the administration was verified.

Search Parameters

NameTypeDescriptionExpression
_textstringSearch on the narrative of the resource
_contentstringSearch on the entire content of the resource
_filtertokenFilter search parameter which supports a more sophisticated grammar for searching. See documentation for further details
_hasstringProvides limited support for reverse chaining - that is, selecting resources based on the properties of resources that refer to them (instead of chaining where resources can be selected based on the properties of resources that they refer to). See the FHIR search page for further documentation
_idtokenLogical id of this artifactResource.id
_lastUpdateddateWhen the resource version last changedResource.meta.lastUpdated
_liststringAll resources in nominated list (by id, Type/id, url or one of the magic List types)
_profileuriProfiles this resource claims to conform toResource.meta.profile
_querytokenA custom search profile that describes a specific defined query operation
_securitytokenSecurity Labels applied to this resourceResource.meta.security
_sourceuriIdentifies where the resource comes fromResource.meta.source
_tagtokenTags applied to this resourceResource.meta.tag
_textstringSearch on the narrative text (html) of the resource
_typetokenUsed when a search is performed in a context which doesn't limit the search to indicate which types are being searched. See the FHIR search page for further discussion
codetokenMultiple Resources: * AllergyIntolerance: Code that identifies the allergy or intolerance* Condition: Code for the condition* DeviceRequest: Code for what is being requested/ordered* DiagnosticReport: The code for the report, as opposed to codes for the atomic results, which are the names on the observation resource referred to from the result* FamilyMemberHistory: A search by a condition code* List: What the purpose of this list is* Medication: Returns medications for a specific code* MedicationAdministration: Return administrations of this medication code* MedicationDispense: Returns dispenses of this medicine code* MedicationRequest: Return prescriptions of this medication code* MedicationStatement: Return statements of this medication code* Observation: The code of the observation type* Procedure: A code to identify a procedure* ServiceRequest: What is being requested/orderedAllergyIntolerance.code / AllergyIntolerance.reaction.substance / Condition.code / (DeviceRequest.code.ofType(CodeableConcept)) / DiagnosticReport.code / FamilyMemberHistory.condition.code / List.code / Medication.code / (MedicationAdministration.medication.ofType(CodeableConcept)) / (MedicationDispense.medication.ofType(CodeableConcept)) / (MedicationRequest.medication.ofType(CodeableConcept)) / (MedicationStatement.medication.ofType(CodeableConcept)) / Observation.code / Procedure.code / ServiceRequest.code
identifiertokenMultiple Resources: * AllergyIntolerance: External ids for this item* CarePlan: External Ids for this plan* CareTeam: External Ids for this team* Composition: Version-independent identifier for the Composition* Condition: A unique identifier of the condition record* Consent: Identifier for this record (external references)* DetectedIssue: Unique id for the detected issue* DeviceRequest: Business identifier for request/order* DiagnosticReport: An identifier for the report* DocumentManifest: Unique Identifier for the set of documents* DocumentReference: Master Version Specific Identifier* Encounter: Identifier(s) by which this encounter is known* EpisodeOfCare: Business Identifier(s) relevant for this EpisodeOfCare* FamilyMemberHistory: A search by a record identifier* Goal: External Ids for this goal* ImagingStudy: Identifiers for the Study, such as DICOM Study Instance UID and Accession number* Immunization: Business identifier* List: Business identifier* MedicationAdministration: Return administrations with this external identifier* MedicationDispense: Returns dispenses with this external identifier* MedicationRequest: Return prescriptions with this external identifier* MedicationStatement: Return statements with this external identifier* NutritionOrder: Return nutrition orders with this external identifier* Observation: The unique id for a particular observation* Procedure: A unique identifier for a procedure* RiskAssessment: Unique identifier for the assessment* ServiceRequest: Identifiers assigned to this order* SupplyDelivery: External identifier* SupplyRequest: Business Identifier for SupplyRequest* VisionPrescription: Return prescriptions with this external identifierAllergyIntolerance.identifier / CarePlan.identifier / CareTeam.identifier / Composition.identifier / Condition.identifier / Consent.identifier / DetectedIssue.identifier / DeviceRequest.identifier / DiagnosticReport.identifier / DocumentManifest.masterIdentifier / DocumentManifest.identifier / DocumentReference.masterIdentifier / DocumentReference.identifier / Encounter.identifier / EpisodeOfCare.identifier / FamilyMemberHistory.identifier / Goal.identifier / ImagingStudy.identifier / Immunization.identifier / List.identifier / MedicationAdministration.identifier / MedicationDispense.identifier / MedicationRequest.identifier / MedicationStatement.identifier / NutritionOrder.identifier / Observation.identifier / Procedure.identifier / RiskAssessment.identifier / ServiceRequest.identifier / SupplyDelivery.identifier / SupplyRequest.identifier / VisionPrescription.identifier
patientreferenceMultiple Resources: * AllergyIntolerance: Who the sensitivity is for* CarePlan: Who the care plan is for* CareTeam: Who care team is for* ClinicalImpression: Patient or group assessed* Composition: Who and/or what the composition is about* Condition: Who has the condition?* Consent: Who the consent applies to* DetectedIssue: Associated patient* DeviceRequest: Individual the service is ordered for* DeviceUseStatement: Search by subject - a patient* DiagnosticReport: The subject of the report if a patient* DocumentManifest: The subject of the set of documents* DocumentReference: Who/what is the subject of the document* Encounter: The patient or group present at the encounter* EpisodeOfCare: The patient who is the focus of this episode of care* FamilyMemberHistory: The identity of a subject to list family member history items for* Flag: The identity of a subject to list flags for* Goal: Who this goal is intended for* ImagingStudy: Who the study is about* Immunization: The patient for the vaccination record* List: If all resources have the same subject* MedicationAdministration: The identity of a patient to list administrations for* MedicationDispense: The identity of a patient to list dispenses for* MedicationRequest: Returns prescriptions for a specific patient* MedicationStatement: Returns statements for a specific patient.* NutritionOrder: The identity of the person who requires the diet, formula or nutritional supplement* Observation: The subject that the observation is about (if patient)* Procedure: Search by subject - a patient* RiskAssessment: Who/what does assessment apply to?* ServiceRequest: Search by subject - a patient* SupplyDelivery: Patient for whom the item is supplied* VisionPrescription: The identity of a patient to list dispenses forAllergyIntolerance.patient / CarePlan.subject.where(resolve() is Patient) / CareTeam.subject.where(resolve() is Patient) / ClinicalImpression.subject.where(resolve() is Patient) / Composition.subject.where(resolve() is Patient) / Condition.subject.where(resolve() is Patient) / Consent.patient / DetectedIssue.patient / DeviceRequest.subject.where(resolve() is Patient) / DeviceUseStatement.subject.where(resolve() is Patient) / DiagnosticReport.subject.where(resolve() is Patient) / DocumentManifest.subject.where(resolve() is Patient) / DocumentReference.subject.where(resolve() is Patient) / Encounter.subject.where(resolve() is Patient) / EpisodeOfCare.patient / FamilyMemberHistory.patient / Flag.subject.where(resolve() is Patient) / Goal.subject.where(resolve() is Patient) / ImagingStudy.subject.where(resolve() is Patient) / Immunization.patient / List.subject.where(resolve() is Patient) / MedicationAdministration.subject.where(resolve() is Patient) / MedicationDispense.subject.where(resolve() is Patient) / MedicationRequest.subject.where(resolve() is Patient) / MedicationStatement.subject.where(resolve() is Patient) / NutritionOrder.patient / Observation.subject.where(resolve() is Patient) / Procedure.subject.where(resolve() is Patient) / RiskAssessment.subject.where(resolve() is Patient) / ServiceRequest.subject.where(resolve() is Patient) / SupplyDelivery.patient / VisionPrescription.patient
contextreferenceReturn administrations that share this encounter or episode of careMedicationAdministration.context
devicereferenceReturn administrations with this administration device identityMedicationAdministration.device
effective-timedateDate administration happened (or did not happen)MedicationAdministration.effective
medicationreferenceMultiple Resources: * MedicationAdministration: Return administrations of this medication resource* MedicationDispense: Returns dispenses of this medicine resource* MedicationRequest: Return prescriptions for this medication reference* MedicationStatement: Return statements of this medication reference(MedicationAdministration.medication.ofType(Reference)) / (MedicationDispense.medication.ofType(Reference)) / (MedicationRequest.medication.ofType(Reference)) / (MedicationStatement.medication.ofType(Reference))
performerreferenceThe identity of the individual who administered the medicationMedicationAdministration.performer.actor
reason-giventokenReasons for administering the medicationMedicationAdministration.reasonCode
reason-not-giventokenReasons for not administering the medicationMedicationAdministration.statusReason
requestreferenceThe identity of a request to list administrations fromMedicationAdministration.request
statustokenMultiple Resources: * MedicationAdministration: MedicationAdministration event status (for example one of active/paused/completed/nullified)* MedicationDispense: Returns dispenses with a specified dispense status* MedicationRequest: Status of the prescription* MedicationStatement: Return statements that match the given statusMedicationAdministration.status / MedicationDispense.status / MedicationRequest.status / MedicationStatement.status
subjectreferenceThe identity of the individual or group to list administrations forMedicationAdministration.subject